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FIELD SERVICE REPORT


        Facility      Florida Hospital Orlando                   Date            1.31.2017

        Address                                                  Technician      Daniel Voight
        City/State    Orlando, FL                                PO#             6547899

        Facility Contact/Supervisor      Darrell Huckaby                     Department       Plant Operations
        Phone#  407-123-4567             Fax#                                Email
                                        Triplex 20 HP Medical
        Equipment Description           Air System
                                        Beacon Medical
        Equipment Manufacturer(s)  Products
        Model #/ Part # /Ser #          LPS-20T-D200-TCY
                                        Equip Room Loading
        Equipment Location (s)          dock

        Description of work performed       Received phone call stating that the Pressure Relief Valve (PRV) for
        Compressor #2 was opening. Found that Lead Pressure Switch needed adjustment as well as Comp#2
        Needing a new PRV (On Order). Also found TMR#1 (Dryer Switching Timer) was bad-LRMC Electrician
        Went and purchased one at Allied Electric-Problem fixed.
        Parts:    None (currently- on order)






        Hours:   4                   Per Diem:                Mileage:                    Rate:
        Comments & Recommendations                Compressors#1 & #3 starting to “Knock”, the Rings & Bearings
        Are wearing out-sending proposal to replace #3 (Sounds the worst)


        Signature of Service Technician           Daniel Voight

        Signature of Responsible Facility Authority








              Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
                                “Medical Gas Pipeline Equipment Service, Sales & Verifications”
                                                     www.medgaspro.org
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